Clinical Orthopaedics and Related Research®

, Volume 468, Issue 3, pp 898–901 | Cite as

Case Report: Cementless Stem Stabilization after Intraoperative Fracture: A Radiostereometric Analysis

  • David Campbell
  • Graham Mercer
  • Kjell G. Nilsson
  • Stuart A. Callary
Case Report

Abstract

We present the case of a patient with intraoperative femoral fracture during THA, which was repaired using cerclage fixation and insertion of an hydroxyapatite-coated cementless stem. The patient was evaluated postoperatively using radiostereometry during a 2-year course, and despite a large amount of subsidence and rotation, stabilization occurred and was maintained by 6 months. By evaluating the pattern of stem migration after intraoperative fracture, this case shows, even in the presence of instability, a successful clinical outcome can be achieved using an hydroxyapatite-coated cementless stem.

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Copyright information

© The Association of Bone and Joint Surgeons® 2009

Authors and Affiliations

  • David Campbell
    • 1
  • Graham Mercer
    • 1
  • Kjell G. Nilsson
    • 2
  • Stuart A. Callary
    • 3
    • 4
  1. 1.Orthopaedic UnitRepatriation General HospitalDaw ParkAustralia
  2. 2.Department of OrthopaedicsUmeå University HospitalUmeåSweden
  3. 3.Discipline of Orthopaedics and TraumaUniversity of AdelaideAdelaideAustralia
  4. 4.Department of Orthopaedics and TraumaRoyal Adelaide HospitalAdelaideAustralia

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